Factors Associated With the Mental Health and Satisfaction of Oral and Maxillofacial Surgery Residents in the United States: A Cross-Sectional Study and Analysis

Smith, Charlie; Rao, Aarathi; Tompach, Paul C.; Petersen, Ashley; Lyu, Diana Jee-Hyun; Nadeau, Robert A.

doi:10.1016/j.joms.2019.07.005

Cited by 7 publications

(11 citation statements)

References 20 publications

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“…Studies reporting lower burnout rates in neurosurgery attributed this to higher rates of PA 36 . An overall burnout rate has not been quantified for OMFS residents, although values for MBI subscales exist, and factors affecting burnout have been studied 41–43 . High DP was reported in up to 85.7% of OMFS and 81.5% of orthopedics residents, the highest among surgical specialties, followed by 53.3% for OTO‐HNS, 54% for plastic surgery, 49.6% for urology, and 43% for neurosurgery 1,4,38,40,42,44,45 …”

Section: Discussionmentioning

confidence: 99%

“…Protected nonclinical time can address an important factor in burnout: inadequate time for personal health care appointments 29,33 . Protected time can also increase accessibility of mental health services, which can increase resident satisfaction up to 6‐fold 41 . Although ACGME set a requirement in 2017 for residents to be able to attend health care appointments, only two‐thirds of OTO‐HNS residency PDs had plans for residents to get medical care during weekdays 55 …”

Section: Discussionmentioning

confidence: 99%

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Resident Burnout and Well‐being in Otolaryngology and Other Surgical Specialties: Strategies for Change

Shah

Salehi

Ihnat

et al. 2022

Otolaryngol.--head neck surg.

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Objective To perform a literature review on burnout prevalence, factors that affect burnout and well-being, and solutions to address burnout in otolaryngology–head and neck surgery (OTO-HNS) residents and residents in other surgical specialties. Data Sources Ovid Medline, Embase, and article reference lists. Review Methods A literature search was performed to identify articles on resident burnout, distress, wellness, well-being, and quality of life. Articles deemed outside the scope of the current work were excluded. Search was limited to the past 5 years. Conclusions Moderate to high burnout has been reported in 35% to 86% of OTO-HNS residents. Among other surgical specialties, resident burnout ranges between 58% and 66% in plastics, 11% and 67% in neurosurgery, 38% and 68% in urology, and 31% and 56% in orthopedics. Highest burnout rates were seen in postgraduate year 2 residents. Factors significantly associated with burnout included hours worked (>80 h/wk), level of autonomy, exercise, and program support. Reported resident work hours have steadily increased: 8% of OTO-HNS residents in 2005 vs 26% in 2019 reported averaging >80 h/wk. Practical implications of resident burnout include decreased empathy, moral distress and injury, poor health, decreased quality of life, increased attrition, decreased desire to pursue fellowship, and increased likelihood of medical errors. Structured mentorship programs, wellness initiatives, and increased ancillary support have been associated with lower burnout rates and improvements in resident well-being across specialties. Implications for Practice Addressing burnout, which is prevalent in OTO-HNS residents, is critical to improving patient care and physician well-being. Surgical specialties can share strategies to effectively address resident burnout through institutional interventions, which can be essential quality improvement initiatives, to promote well-being.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Resident Burnout and Well‐being in Otolaryngology and Other Surgical Specialties: Strategies for Change

Shah

Salehi

Ihnat

et al. 2022

Otolaryngol.--head neck surg.

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“…Several researchers have reported that anxiety, depression, and PTSD during training are associated with greater intention to leave a dental program 15 and pursue a different career 22 . The development of PTSD during residency is especially concerning during the traumatic events of the pandemic, as this disorder has long‐term repercussions for professional effectiveness, 17 such as heightened irritability, reduced concentration, alteration in sleep patterns, and increased absenteeism 4 . In addition, PTSD has specific guidelines for its treatment that differ from the treatment of other mental disorders, such as anxiety and depression 23 …”

Section: Introductionmentioning

confidence: 99%

“…6,10,[14][15][16] Dentists and dental residents generally have high levels of stress and anxiety and a significantly greater risk of experiencing mental health issues, including PTSD. 9,17,18 Previous studies have found that fatigue due to long working hours, 19 frustration about the suspension of research activities and the inability to complete clinical training, 8,13,14,20 and uncertainty about financial obligations and future employment prospects 14,20,21 have contributed significantly to psychological distress and burnout. Several researchers have reported that anxiety, depression, and PTSD during training are associated with greater intention to leave a dental program 15 and pursue a different career.…”

Section: Introductionmentioning

confidence: 99%

Personality traits and risk of posttraumatic stress disorder among dental residents during COVID‐19 crisis

Metz

Whitehill

Alraqiq

2022

Journal of Dental Education

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Purpose/objectives The coronavirus disease 2019 (COVID‐19) pandemic has presented mental health challenges among healthcare professionals, including posttraumatic stress disorder (PTSD). Few studies have examined PTSD predictors in dental settings. This cross‐sectional study aimed to describe the relationship between personality traits and PTSD symptoms among US dental residents engaged in patient care during the pandemic. Methods An online survey was administered to residents in advanced education in general dentistry, dental anesthesia, general practice residency, oral and maxillofacial surgery, and pediatric dentistry programs between September 2020 and April 2021. The survey included a sociodemographic questionnaire, the Big Five Inventory, and the PTSD Checklist for Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition . Logistic regression models, analysis of variance, and Tukey tests were used to examine the association between variables and PTSD scores and assess differences in personality traits and PTSD by specialty. Results Among 149 respondents (mean age = 29.9 ± 4.9 years; 57.0% female), 53.7% reported experiencing stress during the pandemic. Many residents (38.9%) were not aware of available mental health resources. A total of 17.4% of residents met the diagnostic criteria for PTSD, but only 1.3% reported a previous PTSD diagnosis. The most significant predictors of PTSD were neuroticism (odds ratio = 2.90, p = 0.046) and stress unrelated to the resident's program role during the pandemic (odds ratio = 5.88, p = 0.02). Conclusions PTSD symptoms were highly prevalent among dental residents, with stress and neuroticism being the most significant predictors.

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“…The main reason is that the income during the standardized training cannot meet their expenses ( 7 ). Smith et al reported that Oral and Maxillofacial Surgery Residents' increased stress was related to significantly decreased odds of satisfaction ( 8 ). And job satisfaction has the strongest association with mental/psychological problems, such as burnout and depression ( 9 ).…”

Section: Introductionmentioning

confidence: 99%

Factors Influencing Residents' Psychological Status During Standardized Training in COVID-19

et al. 2021

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Objectives: To explore the influencing factors of residents' psychological status during standardized training in COVID-19 for finding ways to promote their mental health.Methods: A total of 760 residents were surveyed with a structured questionnaire. Correlation analysis was used to analyze the influencing factors of psychological status of the residents, and a mediation model was constructed to verify the mediating role of satisfaction.Results: Age, willingness to study medicine, and satisfaction were positively correlated with negative psychological status (P < 0.05). And gender, only child or not, and annual household income (RMB) were negatively correlated with negative psychological status (P < 0.01). Residents' satisfaction with standardized training mode plays a complete mediating role between annual household income and negative psychological status.Conclusions: Our findings emphasize the importance of concentrating on resident's psychological status and family economic situation. And relative departments should take action to optimize the standardized training mode to improve the satisfaction.

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Factors Associated With the Mental Health and Satisfaction of Oral and Maxillofacial Surgery Residents in the United States: A Cross-Sectional Study and Analysis

Cited by 7 publications

References 20 publications

Resident Burnout and Well‐being in Otolaryngology and Other Surgical Specialties: Strategies for Change

Resident Burnout and Well‐being in Otolaryngology and Other Surgical Specialties: Strategies for Change

Personality traits and risk of posttraumatic stress disorder among dental residents during COVID‐19 crisis

Factors Influencing Residents' Psychological Status During Standardized Training in COVID-19

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